子宫内膜肌瘤样息肉临床病理分析

目的　提高对子宫内膜肌瘤样息肉 (MP)的临床病理学诊断技能。方法　分析 8例MP的临床病理学特点。结果　MP表面为粘膜 ,无腺体 ,中心为典型的子宫平滑肌瘤样结构 ;伴发疾病包括子宫肌瘤、子宫内膜增殖症、宫内膜癌和卵巢囊腺瘤及囊肿等。结论　MP实质为子宫内膜下较小的平滑肌瘤 ,因发生部位表浅 ,在重力和组织内压等因素的作用下 ,自子宫内膜脱出并牵拉周围子宫内膜致基底部逐渐延长变细形成。

The clinicopathologicai analysis of myomatous polyp of endometrium

Objective To improve the clinicopathological diagnosis of myomatous polyp of endometrium.Methods The clinicopathological features were analysed in 8 patients with myomatous polyp of endometrium.Results On MP surface there was a thin mucous and no gland while in the centre was typical leiomyoma like structure and the concomitant diseases included hysteromyoma,endometrial hyperplasia,endometrial carcinoma,cystadenoma and cyst of ovary and so on.Conclusion MP is actually formed by submucous leiomyoma of uterus whose pathogenic site is superficial,with the effect of gravity and internal pressure of tissues,prolapses from the endometrium,and pulls peripheral endometrium,finally results in the basal part becoming thin and long.